As a patient approaches death, the sense of ____________________ is the final sense that is lost
Fill in the blank with the appropriate word.
ANS:
hearing
The majority of patients are unconscious for hours or days before they die. Before they lose consciousness, their ability to see may be diminished. Hearing will be the final sense to lose. It is important for you to remember as you are caring for the patient and conversing with the family that he or she likely hears everything you are saying.
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In a client with sickle cell anemia, why does the nurse auscultate the lungs and heart?
A) To detect the abnormal sounds suggestive of acute chest syndrome and heart failure B) To detect the evidence of infection such as fever and tachycardia C) To detect the evidence of dehydration that might have triggered a sickle cell crisis D) To detect the motor strength and stroke-related signs and symptoms
A client has a chronic wound that is being treated with a vacuum-assisted wound closure (VAC) device. Which intervention by the nurse takes priority?
a. Provide pain medication as needed. b. Assess the VAC every 2 hours for bleed-ing. c. Check the integrity of the dressing seal every 4 hours. d. Document the wound size with each dressing change.
Findings of a Pap smear exam denote atypical cells of undetermined significance (ASCUS). The Pap test is repeated at 6 months and the same finding of ASCUS are reported. Which therapeutic treatment option would the nurse expect the practitioner to order?
a. Mammography b. Bone scan c. Transvaginal ultrasound d. Biopsy
A homeless client with SPMI is telling the nurse how a group of youths beat him up for no apparent reason. Which of the nurse's responses best exemplifies the principles of cognitive–behavioral therapy?
A) "How did that assault make you feel?" B) "Do you think there's anything you could have done to protect yourself?" C) "Did you feel like you could report that to the police?" D) "Why do you think they did that?"